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Jugular phlebectasia presenting as globus pharyngeus.

J Czyżowski¹, K A Tomaszewski, J A Walocha

¹Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland. krtomaszewski@gmail.com.

Folia Morphologica

|September 27, 2013

Summary

Globus pharyngeus, a common sensation of throat tightness, can be caused by jugular vein phlebectasia. This rare vascular anomaly offers a new perspective on the multifactorial etiology of globus sensation.

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Area of Science:

Vascular Surgery
Radiology
Otolaryngology

Background:

Globus pharyngeus is a common condition characterized by a persistent sensation of a lump or tightness in the throat.
Its etiology is multifactorial and often elusive, with various contributing factors investigated.
Vascular anomalies are rarely considered in the differential diagnosis of globus pharyngeus.

Observation:

A 54-year-old woman presented with a 6-day history of intense pressure and tightness in the jugular notch area.
The patient was referred for a contrast-enhanced computed tomography (CT) scan.
The CT scan revealed a phlebectasia of the right anterior jugular vein.

Findings:

Phlebectasia, a venous aneurysm or dilatation, of the right anterior jugular vein was identified as the cause of the patient's symptoms.
This finding suggests a potential link between jugular vein abnormalities and globus sensation.
The vascular anomaly was located near the jugular notch, correlating with the reported sensation.

Implications:

Jugular vein phlebectasia should be considered in the differential diagnosis of globus pharyngeus, especially when symptoms are localized.
This case highlights the importance of thorough vascular imaging in unexplained cases of globus sensation.
Further research may elucidate the prevalence and clinical significance of jugular vein phlebectasia in patients with globus pharyngeus.